Rood, Kimberly Dawn

Rood, Kimberly Dawn is an individual health care provider with primary practice located at 3901 Beaubien St , Detroit MI 48201-2119. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rood, Kimberly Dawn can be contacted via phone (313) 745-5750.

Contact Information

Primary practice address
3901 Beaubien St Detroit MI 48201-2119
Phone: (313) 745-5750
Fax: (313) 831-3908
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 4704162094 Michigan

Profile Details

NPI number 1033106224
LBN Legal business name Rood, Kimberly Dawn
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Feb 9th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033106224 NPPES
Michigan Other 5008601810 BLUE CROSS/BLUE SHIELD
Michigan MEDICAID 4517881 BLUE CROSS/BLUE SHIELD

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